Scott Robert Moscow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002765 Issued in GA

Practice address

1190 Grimes Bridge Rd
Roswell, GA 30075-3930

Phone

(770) 992-7620

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roswell Eye Clinic,IncGroup PAC ID 7214119114, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roswell Eye Clinic,Inc

  • Optometrist
  • Roswell, GA
  • NPI 1104010594
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1376984195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 GRIMES BRIDGE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753930",
            "telephone_number": "770-992-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 GRIMES BRIDGE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753930",
            "telephone_number": "770-992-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOW",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mtizi Dee Morris, D.M.D.
• Jennifer M Morrison, PA-C
• Amy Morse, PT, DPT
• Bonnie Moscovitch, PHD
• Michelle Rose Moscow, OD
• William Moscow, O.D.
• Nancy Xenia Moser, LPC
• Madison Spencer Moss, PT
• Thierrielle Moss
• Heera Lal Motwani, M.D

• Optometrist in Roswell, GA
• Providers in Roswell, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.